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PERSATUAN KARATE NEGERI SABAH

SKA TELUPID
(D-SBH-12055)
Peti Surat 97, 89320 Telupid, Sabah
No. Tel.: 010-9444340

BORANG UJIAN KENAIKAN TALI PINGGANG


(UP-GRADING)

1. NAMA PENUH
:

2. NO. KP & NO. SKA PASSPORT: :

3. PERSATUAN/KELAB : SKA TELUPID /

4. RANKING TALI PINGGANG SEKARANG


:
(Sila rujuk yuran mengikut ranking)

5. BAYARAN YURAN UJIAN


: RM
(Sila rujuk yuran mengikut ranking)

6. SIJIL : RM5.00

YURAN MENGIKUT RANKING

RANKING KYU RM Sila tanda √


th th
10 Kyu (White) to 9 Kyu (Yellow) 20.00
9th Kyu (Yellow) to 8th Kyu (Orange) 20.00
8th Kyu (Orange) to 7th Kyu (Green) 30.00
7th Kyu (Green) to 6th Kyu (Blue) 30.00
6th Kyu (Blue) to 5th Kyu (Purple) 40.00
5th Kyu (Purple) to 4th Kyu (Purple Brown) 40.00
4th Kyu (Purple Brown) to 3rd Kyu (Brown) 50.00
3rd Kyu (Brown) to 2nd Kyu (Brown Red) 50.00
2nd Kyu (Brown Red) to 1st Kyu (Brown black) 50.00

JUMLAH : RM
(Yuran + Sijil)
TARIKH :

…………………………………………………………
( )

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